| Lorraine E. Davis Md | |
|
109 Sidney Road Howes Cave NY 12092 | |
| (518) 868-2026 | |
| (518) 868-2027 |
| Full Name | Lorraine E. Davis Md |
|---|---|
| Speciality | Family Medicine |
| Location | 109 Sidney Road, Howes Cave, New York |
| Authorized Official Name and Position | Lorraine E Davis (OWNER) |
| Authorized Official Contact | 5188682026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorraine E. Davis Md 109 Sidney Road Howes Cave NY 12092 Ph: (518) 868-2026 | Lorraine E. Davis Md 109 Sidney Road Howes Cave NY 12092 Ph: (518) 868-2026 |
| NPI Number | 1912100736 |
|---|---|
| Provider Enumeration Date | 06/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912100736 | NPI | - | NPPES |
| 00597071 | Medicaid | NY | |
| 66E471 | Other | NY | EMPIRE BC-BS |
| 993221 | Other | NY | MVP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 145901 (New York) | Primary |